12 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
with a left 6th nerve ... palsy Caused ... #physicalexam # ... clinical #video ... #neurology #ophthalmology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
(Trochlear) Nerve ... Skew Deviation Casey ... #Localization #ophthalmology ... #neurology #differential ... #diagnosis #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... Functional • Corneal ... large/unreactive pupil ... #Ophthalmology
Approach to an Eye Exam

1. History
2. Obvious Physical Trauma
3. Initial Assessment
  A. Visual Acuity
Pupils a. ... Cornea D. ... Optic Nerve / Disc ... EyeExamination #Approach #Ophthalmology ... #PhysicalExam
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Young females Differential ... Diagnosis: • CN ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Optic Nerve/Pathway ... GCA • Adie’s pupil ... #diagnosis #ophthalmology ... #causes
Left oculomotor paralysis probably of ischemic cause.

via @neurologiabr

#oculomotor #nerve #paralysis #palsy #CNIII #CN3 #clinical #video #neurology
probably of ischemic cause ... #oculomotor #nerve ... #clinical #video ... #neurology #ophthalmology ... #PhysicalExam
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... suggest oculomotor nerve ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... • Symmetrical corneal ... large/unreactive pupil ... Diagnosis #Algorithm #Causes ... #Ophthalmology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
a non-reactive pupil ... acetate to help with ocular ... HZO #clinical #video ... #ophthalmology ... #physicalexam #neurology